| NPI | 1104352368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL IVY SIMMONS Director, Omhc 410-455-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2279) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |